Provider Demographics
NPI:1104185875
Name:SPEZIALE, NADIA M (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:M
Last Name:SPEZIALE
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:DOLCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:556 GARRISONVILLE RD STE 212
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7819
Mailing Address - Country:US
Mailing Address - Phone:540-602-7615
Mailing Address - Fax:540-628-0446
Practice Address - Street 1:556 GARRISONVILLE RD STE 212
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7819
Practice Address - Country:US
Practice Address - Phone:540-602-7615
Practice Address - Fax:540-628-0446
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health